20th ANNIVERSARY MUSTANG HOME PAGE

20th ANNIVERSARY MUSTANG OWNERS ASSOCIATION APPLICATION & INFORMATION FORM

Date: ___________________

Owner/s Name: _____________________________________________ Age:________

Address:_________________________________________Phone:________________

City:_____________________________________State:____________Zip:_________

(Note: All information Provided is strictly for Association use only.)

Vehicle Information

VIN #______________________________________________________

Current Mileage:_____________________________ [_] Original [_] Do not know ?

Body Style: (check all that apply) [_] Hatchback [_] Convertible: [_] Black Top [_] White Top [_] Sunroof [_] T-tops

Engine: [_] 5.0 Liter 4v [_] 5.0 Liter E.F.I. [_] 2.3 Liter Turbo 4 Cylinder

Transmission [_] 5-Speed [_] Automatic (AOD)

Options:
[_] Air Conditioning [_] Premium Sound [_] Cruise Control [_] Power Windows
[_] Sunroof [_] T-Tops [_] TRX wheels [_] Tilt Wheel [_] Rear Defrost
[_] Power Door Locks [_] Power Trunk/Hatch Release

Dealer Installed Options, If any:____________________________________________
____________________________________________________________________

Dash Plaque Information

Which do you have, if any? :
[_] 20th Anniversary Horseshoe Medallion
[_] Ltd. Edition: Car # __________________

Vehicle History

Are you the original owner? [_] Yes [_] No /If no, which owner are you? _____________
Name of Dealership car was purchased new, if known:

Name:_______________________________________________________________
City:_______________________________________State______________________
Date purchased, If Known:________________________________________________
(If you have the original window sticker, could you please include a copy?)

General Information>

Is the car driven daily? [_] Yes [_] No /If not, When? ____________________________
Do you show the car? [_] Yes [_] No
Do you belong to any other car clubs? If so, which ones: __________________________

Association Information

Dues are $25.00 (US) for the 1st year, then $10 per year afterwards

Membership includes: Membership Card & Certificate, Window Decal, And a Newsletters If you are interested in joining, print and mail application and dues to: